Individual
MOSTAFA ZAKARIA KHALIL
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
593 EDDY STREET, JANE BROWN, PROVIDENCE, RI 02905
(401) 444-5448
(401) 606-7721
Mailing address
117 ELLENFIELD ST STE 101, PROVIDENCE, RI 02905-4541
Taxonomy
Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
Primary
MD19128
RI
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
07/22/2019
Last updated
11/30/2023
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